Individual
HANNAH E RUSSELL-GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, WHNP-BC
Contact information
Practice address
1660 EUREKA RD, ROSEVILLE, CA 95661-3027
(937) 477-2653
Mailing address
3810 W STATE HIGHWAY 20, UPPER LAKE, CA 95485-9511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95202204
CA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
02/03/2022
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